Revision of Total Knee Replacement and Hip Replacement in Surat

Common reasons include:

Pain after a replacement can also come from the spine, a nearby tendon or a nerve, or the hip can refer pain to the knee. This is why assessment comes before any decision about surgery.

Under anaesthesia, the old components that are loose or failed are removed and the bone is prepared. New implants are then fixed, often with longer stems that reach deeper into the bone, small metal blocks (augments) or donor bone graft to fill gaps where bone has been lost. Parts that are well fixed and working can sometimes be kept, and in some cases only the plastic liner is exchanged.

If infection is the reason, the surgeon chooses between two approaches case by case. In a one-stage operation, the infected tissue and old implants are cleared (debridement) in one operating theatre, the joint is washed out thoroughly, and the revision is then done in a second, clean theatre, with antibiotic-loaded cement when the organism is known. In a two-stage operation, the implants are removed and replaced with an antibiotic cement spacer, antibiotics are given for some weeks, and new implants are placed later. Dr. Aman does both. When infection is recent and the implant is still firmly fixed, the joint may instead be washed out surgically, the plastic parts exchanged and the implant kept, with a course of antibiotics.

The hospital stay is usually about 5 to 7 days after revision knee or hip surgery, which is longer than after a first replacement.

Recovery is usually slower than after a first replacement and depends on how much bone and soft tissue had to be rebuilt. You may be asked to limit weight on the leg for a period, and physiotherapy starts under supervision. After hip revision, movement precautions depend on the approach and the reconstruction. Dr. Aman uses either a posterior approach or an approach from the side or front of the hip, chosen by age and bone quality. The side or front approach lowers the risk of dislocation, so movement precautions may not be needed in older patients with fragile bones; after a posterior approach, some precautions are usually needed for about 3 to 6 weeks.

Check-ups with X-rays follow over the coming months. Many people improve over several months, but a revised joint may not work as well as a first replacement.

See an orthopaedic surgeon if pain returns or does not settle after a replacement, if the joint swells, turns red or warm, drains fluid, gives way or feels loose, or if you develop a limp. A hot, swollen joint with fever needs prompt attention. A fall followed by sudden inability to walk needs emergency care at the nearest hospital.